Catheterization package



July 4, 1967 F. J. SERANY, JR. ETAL CATHETERIZATION PACKAGE 5 Sham -Sheet 1 INVE TORS I, My. ,fl.w

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Filed Sept. 5, 1965 4 mm F F. J. SERANY, JR., ETAL 3,329,261

July 4, 1967 CATHETERIZATION PACKAGE 5 Sham -Sh 2 Filed Sept.

V NTDR WOW y 4, 1967 F. J. SERANY, JR, ETAL 3,329,261

GATHETERI ZATION PACKAGE Filed Sept. a, 1965 3 SheetsSheet 3 FEG.6

United States Patent Office 3,329,261 CATHETERIZATION PACKAGE Frank J. Serany, Jr., Pompton Plains, and Edward J. White, Denville, NJ., assignors to C. R. Bard, Inc., Murray Hill, N.J., a corporation of New York Filed Sept. 3, 1965, Ser. No. 484,914 1 Claim. (Cl. 206-632) This invention relates to a ready to-use-package containing components for a catheterization procedure. The package is adapted to be opened at the patients bedside to make available such components in their preferred order of use. The components are maintained sterile until the package is opened and include items which assure that a sterile field may be maintained as the components are removed from the package and used. In one embodiment, all the essential equipment, including preparation items, catheter, and drainage bottle, for a complete the catheterization procedure are included in the package. *In using this package, the nurse or physician is assured that it will not be necessary to interrupt the procedure to search for missing items necessary to complete the job or to question the sterility of the items being used. Everything is available in the proper order of use and in a sterile condition.

It is an object of this invention to provide a compact package containing sterile components for catheterization, packaged in their order of use, and arranged to assure that a sterile field may be maintained as the components are removed from the package and used.

Another object is to provide a catheterization package which reduces the incidence of infection, reduces labor costs, and which provides the convenience of having all the components arranged in logical step-by-step order to facilitate the nurses or physicians task.

.A further object is to provide certain improvements in the form, construction, arrangement and material of the several elements whereby the above named and other objects may effectively be attained.

A practical embodiment of the invention is shown in the accompanying drawings wherein:

FIG. 1 is a perspective view of a package, constructed according to this invention, showing the outer envelope on the package partialy separated preparatory to removing the inner box therefrom.

FIG. 2 is a perspective view showing the box and the envelope from which it was removed.

FIG. 2a is a plane view, on a reduced scale, of the box and wrap before the latter is folded around the former.

FIG. 3 is a perspective view showing the 'box resting on the wrap which was previously folded around the box.

FIG. 4 is a partial section, on a larger scale, looking along the line IV-IV of FIG. 3.

FIG. 5 is an exploded view of the box of FIG. 3 showing the relationship of various components included herewith.

FIG. 6 is a perspective view showing the tray after it has been lifted off of the box.

FIG. 7 is a perspective view of the bottom of the tray.

Referring to the drawings, a box 10 having an open top with a tray 12 mounted thereon is enclosed within a Wrap 14, the entire assembly being encased within an envelope 16. The envelope 16 seals the contents to maintain the sterility of the contents, the latter, of course, having been sterilized before or after enclosure in the envelope. The envelope 16, preferably made of a transparent and flexible plastic film, has a heat seal 17 which is adapted to 'be separated as shown in FIG. 1 to facilitate removal of the contents while maintaining the integrity of the remainder of the envelope so that it may be cuifed as shown in FIG. 2 to serve as a waste receptacle.

3,329,261 Patented July 4, 1967 The wrap 14, which may be a piece of sterile absorbent paper, is folded around the box 10 in such a way that a slight tag on the corner 18 will release the folds so that the wrap may thereafter be readily spread out on the fiat surface on which the box rests. To provide for this release, the wrap 14 is folded around the box 10 by initially resting the box on the flat wrap 14 with the respective corners offset as shown in FIG. 2a. The corner 18b is then pulled over the top of the box followed by the corners 18a and 180 which overlap the corner 18b and each other. Thereafter, the corner 18 is pulled over the overlapping corners 18a, 1230 on top of the 'box and tucked thereunder. Simultaneously the corner 18 is folded as at 18d in a manner so that the extreme end of corner 18 protrudes to form a pull tab as shown in FIG. 2. While the portion thereof under the overlapping corners 18a 18c holds the wrap in place around the box. The wrap, when removed from around the box as described above and flattened out thereunder, serves as a. sterile field and work area for the remaining operations to be described. Upon removal of the wrap 14, there is exposed a waterproof underpad 20 which is folded fiat and rests on top of the tray 12. The underpad 20, which may be made of paper with a plastic water-proof coating on one side, is adapted to be placed under the patent. Prepowdered plastic gloves 22 are arranged in a fiat condition beneath the underpad 20 and are exposed when the latter is removed. The glooves 22 are put on by the nurse or physician and used thereafter. A fenestrated drape 24 folded flat underneath the gloves, is removed, unfolded, and placed in position on the patient, all the above being accomplished while maintaining a sterile field.

The tray 12 is then lifted from the box 10 and placed within easy reach. Handle tabs 26 may be provided to facilitate lifting of the tray. As best shown in FIG. 4, the tray has an inverted groove 27 adjacent its peripheral edge in which is accommodate the upper edge of the box 10.

The tray 12 has compartments or depressions therein to suitably accommodate components for catheterization. The depression 28 accommodating a bottle 30 of cleansing solution has in its lower depths a section 28a to receive the neck and cap of the bottle and a section 28b to receive the main portion of the bottle, the latter section being deeper than the former. These two sections 28a and 28b are approximately the same width as the respective diameters of the neck and main portion of the bottle to hold the latter in place in the tray. In order to provide ready access to the :bottle 30, the upper reaches of the depression 28 are made wider than the diameter of the bottle, said wider section being indicated at 28c in FIG. 7. As a further aid to facilitate access to the bottle 30, finger depressions 280? may be provided along the side of section 28b so that the bottle may be easily grasped for removal from the tray.

The tray also has a depression 32 for balls 34 of cleansing material, e.g. rayon, which are used to prepare the patient for catheterization. Conventionally, the balls of cleansing material are unsaturated with a cleansing solution before they are used. This is readily accomplished in the present invention, by removing the bottle 30 of cleansing solution from the compartment 28, as previously described, and pouring it over the rayon balls 34 in their stored position in the depression 32. The balls are handled by forceps 36, conveniently stored above the balls and held in place by the indentations 34a at both ends of the depression 34. The forceps 36 are removed from their stored position before the cleansing fluid is applied to the balls. Used balls may be conveniently discarded in the depression 28 which originally contained the bottle of cleaning fluid.

A plastic pouch accommodated in a depression 38 in the tray is removed from the latter and the contents including lubricating jelly in an individually sealed pouch 40, safety pin 41, and rubber band 42 are taken out and placed :back into the depression 38, ready for use.

The tray 12 has a further depression 44 for a prefilled syringe 45 used to inflate the balloon on the catheter. The syringe 45 is stored with its plunger 45w extended and the barrels 45b filled with a fixed amount of sterile water, the tip of the syringe having a removable protective cap 47 of rubber or the like to seal the water in the barrel. The depression 44 has an end section 44a of a Width approximating the diameter of the protective cap 47 and a mid-section 44b having a width approximating that of the barrel 45b thereby holding the syringe against lateral movement in its stored condition. The upper portion of the end section 440, on the other hand, is wider than the diameter of the plunger handle 450 so that it may be easily grasped for removal of the syringe from the tray. Indentations 44d along the sides of the depression 44 accommodate the flange or finger grip 450 of the syringe.

Included in the box beneath the tray 12 are a collapsible drainage bottle 46 and a Foley catheter 48 (partly shown) connected thereto by the drainage tube 49 and ready for use. The bottle 46 is made of flexible plastic material having fold lines 46a formed thereon on opposite sides so that it may be folded flat for storage in the box 10 and expanded into cube form when in use. The bottle is shown in FIG. 6 partially expanded for illustration purposes. In its collapsed condition, it will readily fit into the box 10 beneath the tray 12. The catheter 48 and drainage tubing 49 connecting it to the bottle 46 are coiled in the box about the bottle. The neck of the bottle carries a detachable fitting 50 to receive and connect the catheter drainage tube 49. The neck also has diametrically opposed projecting lugs 52 for detachably affixing a supporting strap 54, the latter having a plurality of spaced openings 54a at both end portions to fit over the lugs 52 so as to form a closed loop over a bed rail or the like for suspending the bottle. A flexible plastic carrying hook 56 may be provided on the neck of the bottle to facilitate handling the latter, for example, when it is emptied.

After the patient has been prepared, as previously described, the catheter 48 is lubricated with the lubricating jelly 40 while the drainage bottle 46 and tubing 49 are still in the box 10. Catheterization is thereafter effected in the usual manner. The covering 47 on the tip of the syringe 45 is removed and the balloon on the catheter is inflated with the sterile water in the syringe 45. The drain age bottle 46 is removed from the box 10 and suspended from a bed rail or the like by the strap 54 (or placed on the floor or other support). The drainage tubing 49 is attached to a bed sheet with the safety pin 41 and rubber band 42 to thereby complete the catheterization procedure. All waste materials may be discarded in the plastic bag 16. The collapsible bottle 46 may be emptied by grasping the carrying hook 56, detaching one end of the strap 54 from the lug 52 and disengaging the connection fitting '50 from the bottle. After the bottle 46 has been emptied it may be connected and suspended again.

From the above description it will be seen that all the components to effect catheterization have been provided in a compact, sealed, and sterile package ready for use in the order needed. The tray conveniently houses and stores the accessories to provide protection against damage during shipment and to make such accessories readily available while at the same time facilitating their use, for example, by enabling the balls of cleansing material to be saturated with cleansing fluid while in their storage compartment. The tray also serves to rigidify the package. Thus the box 10 may be made of inexpensive cardboard With the tray, accommodating the upper edge of the box in the groove 27, serving to rigidify the assembled unit. The tray 12 may be made of relatively thin molded plastic with the various depressions therein serving to enhance its overall structural strength.

As best shown in FIG. 7, the depression 44 for the syringe 45 has an extension 44d at an intermediate location which extends down to the same plane as the bottom of the depressions 28 and 32 to thereby provide a three leg support for the tray on a flat surface. The tray also has indentations 58 at both ends adjacent the lift tabs to provide additional grip area after the tray has been lifted off of the box.

In the above description, all the components for catheterization have been included in the package. In some cases certain components, such as the Foley catheter 48, may be omitted as it may be available from a separate source.

It will be understood that various changes may be made in the form, construction and arrangement of the several parts without departing from the spirit and scope of the invention, and hence We do not intend to be limited to the details shown or described herein except as the same are included in the claim or may be required by disclosures of the prior art.

What we claim is:

A package for catheterization components, comprising an open tOp box made of cardboard, one of said components being a collapsible drainage bottle with catheter and drainage tube preconnected to said bottle within said box, a removable tray of molded plastic having compartments therein for other of said components, said compartments strengthening said tray to provide a semi-rigid structure, there being at least three compartments at least portions of which extend to the same depth so as to provide three point support for the tray on a flat surface, means mounting said tray within the open top of said box over said bottle and thereby rigidifying said box, said tray having lateral extensions forming lifting tabs a sterile wrap folded about said box and adapted to be unfolded to provide a sterile field as said components are removed from the package and used, and a sealed envelope about said wrap to maintain the sterility of said components.

References Cited UNITED STATES PATENTS 3,087,491 4/1963 Gewecke et al. 20663.2 3,116,828 1/1964 Glassman 20663.2 3,137,387 6/1964 Overrnent 20663.2 3,138,253 6/1964 Harrautuneian 2106-632 THERON E. CONDON, Primary Examiner, WILLIAM T. DIXSON, JR., Examiner. 

